** ********* ******

North Plainfield, NJ - *****

Dawn Marie Pettus – Bradley, MBA

973-***-****

ac0q74@r.postjobfree.com

Director of PMO Operations Healthcare Management

Business Transformation & Automation $MM Project Portfolio Management Cross Functional Team Management

Highly strategic, forward-thinking and performance driven ‘Program/Project Management’ professional with 17 years experience in managing highly visible enterprise wide programs and projects in support of organization’s healthcare strategic initiatives to include digital transformation, technology roadmap, and business process optimization programs. Ensure healthcare information related policies comply with HIPAA, SOX and other applicable regulations.

Immediate Value Offered

Core Competencies

Leadership & Management:

-Program Life Cycle Management

-Healthcare Administration

-Healthcare Management

-Technology Strategic Planning

-Customer Service Excellence

-Team Building and Leadership

-Contract Analysis & Management

-Continuous Process Improvement

-$MM Budget Management

Technology Solutions Delivery:

-Agile & Waterfall Methods

-Healthcare Information Systems

-Platform Development

-Technology Product Roadmaps

-Software Development Life Cycle

-QA / Testing / Deployments

-Transformational Initiatives

-System Migrations & Integrations

-Systems Analysis / Programming

-Reporting Tools Development

Interpersonal/Soft Skills

-Cross Functional Collaboration

-Relationship Building

-Presentations/Public Speaking

Concept-to-completion leader of multi-million dollar, multi-faceted programs and projects in areas of Consumer Directed Healthcare, Converged Health Management, Health Reforms, Managed Care, and many other Enterprise-wide operations

Succeeded in leading a portfolio of projects working with key business customers, stakeholders, IT / QA / Developer / Programmer / Data teams to deliver key transformation and automation (workflow) projects to support organization’s growing business

Comprehensive expertise of healthcare administration/management, and healthcare technology, systems & processes to support organizational objectives, achieved through MBA (Health Care Administration and Management), and Health Information Systems (AS degree) along with Lean Six Sigma (Green Belt) and PMP qualifications

Agile / Waterfall & SDLC proficiency, along with business process understanding, requirement understanding & mapping, application development, testing, procedure development, training, business process re-engineering and project documentation

Improved customer experiences during all phases of project/program life cycle, ensured timely launch / deployment, and maintained quality relationships with internal/external stakeholders

Inspire team commitment, workforce diversity, quality performance, and compliance with organizational directives; act as liaison, motivator, coach, manager, and educator in leading teams to maximize performance

Professional Work History

Portfolio Manager, PMO National Accounts Verizon Wireless, Basking Ridge, NJ March 2015 – May 2017

Strategically recruited to manage a $30M portfolio with multiple programs/projects, while providing guidance and advice towards project/program deliverables, issues, processes, and risks. Monitor project/program performance for projects/programs within PMO responsibility, and achieve time, budget, and specification commitments.

Leverage expertise in key systems supporting end-to-end focus of key business capabilities and implementation processes within business systems and functions

Deliver strategic value across the overall program while guiding the selection, prioritization, balancing, and termination processes for portfolio components, in alignment with the organizational strategy

Collaborate cross-functionally to establish and manage appropriate team structure for successful delivery across impacted organization – Provide oversight in portfolio review, re-prioritization and optimization

Influence transformation strategy improvements, along with quality management of sub-components of a large program

Successful Program Management & Contributions include-

-Retail GTM National Operations

-Next Bill Summary

-Streamlined Sales Flow

-Desktop Transformation

-Info-manager Redesign

-Holiday Readiness Strategy and Planning with a Command Center – Reduced churn and achieved 130% in holiday sales

40 Grandview Avenue

North Plainfield, NJ - 07060

Dawn Marie Pettus – Bradley, MBA

973-***-****

ac0q74@r.postjobfree.com

Professional Work History Continued…

Senior Project Manager, Consumer Directed Healthcare EXPRESS SCRIPTS, NJ August 2014 – February 2015

Led deliverables of various $MM projects & programs, through to implementation, that impacted multiple processes, systems, functions and products in consumer directed healthcare. Display proficiency in software development life cycle, Agile and Waterfall processes, while monitoring and tracking of progress and status update communications.

Identified project risks and authored mitigation plans, while closely collaborating with QA, technical leaders, developers & project stakeholders to facilitate goals and deliverables, and project success

Established compliance management systems and processes across the healthcare domain – Documented policies and employed best practices

-Demonstrated exceptional business understanding of pharmaceutical drug commercialization

-Published detailed reports for project sponsors and key leadership

Implementation Project Manager, Converged Health Management

VERIZON MOBILE HEALTH SOLUTIONS, Basking Ridge, NJ December 2013 – June 2014

Emphasized on the delivery of solutions within the healthcare environment using information systems and program management best practices. Provided project management leadership to cross-functional teams to translate Business Intelligence (BI) and Market Research (MR) information into actionable insights, facilitating brand strategy formation.

Managed implementation of projects from inception to post implementation support, along with eliminating business and technology risks associated with project – Orchestrated pre-launch training

Delivered engaging, informative, well-organized presentations during internal and client-facing meetings enabling timely implementation

Built and maintained productive, healthy work relationships across diverse functional areas such as finance, marketing, market research, sales, legal, medical, regulatory, and R&D

-Triumphed in launching the 1st FDA cleared medical device

-Provided insightful analytics to formulate franchise and brand strategies, enabling smooth market entry and product launch for Converged Healthcare Management

-Elevated customer experience during UAT and implementation phases

Portfolio Manager, Healthcare Reform EMBLEMHEALTH, Manhattan, NY February 2012 –December 2013

Drove complex transformation projects and ensured objectives were on time, on budget, and delivered with the highest quality. Led clients through strategy development for Healthcare Reform projects to ensure a shared vision and roadmap, and then implement new and improved business and IT capabilities across the ecosystem.

Contributed as a key thought partner in preparing for and reacting to ongoing healthcare reform projects and initiatives, while delivering subject matter expertise in technical and non-technical areas

Facilitated insightful analytics in determining the financial impact on the firm's Medical Loss Ratio (MLR) calculated for the various business segments, assisting management in evaluating viability of services

Delivered oversight in vendor selection process, along with SOW, change orders, and RFP development process

Provided project implementation support to New York Healthcare Exchanges with Health Care Reform Fees; calculated Summary of Benefits and Minimum Creditable Coverage and Coverage of Contraceptive under ACA for Women’s Preventative Health Services

-Administered Health Reform projects for Wellthie, a New York City digital health firm offering technology to help small firms understand their health insurance options

-Coached, guided and mentored program members in issue resolution and risk mitigation

-Accomplished projects within timelines and budgets, along with desired quality and specifications

Portfolio Manager, EPMO, Healthcare Reform EMBLEMHEALTH, Manhattan, NY July 2011 – February 2012

Administered $20M EPMO budget to drive and lead 15 different departments in Phase II of ICD-10 implementation; delivered expertise in structuring a portfolio management module and built solutions. Provided overall direction and management for the Cluster Enterprise Portfolio Management Office, involving complexity, multi-program facilitation, cross-functional teams, formal project management techniques, and comprehensive change management.

Oversaw and managed requirements gathering, resource allocation, budgeting, and design functions with main accountability of creating project scope document for (5) different work-streams

Built solutions in alignment with client needs and represented client at business meetings

40 Grandview Avenue

North Plainfield, NJ - 07060

Dawn Marie Pettus – Bradley, MBA

973-***-****

ac0q74@r.postjobfree.com

Professional Work History Continued…

Portfolio Manager, EPMO EMBLEMHEALTH, Manhattan, NY July 2011 – February 2012

Excelled at Software Development Life Cycle, and in ERP environments, to implement conversion for ICD9, ICD10 and application design; conducted enterprise PwC impact analysis for ICD10

Accountable for project documentation, creating procedures and training programs, logical data modeling, supporting test planning, and participating in process integrity, milestone, peer reviews

Prepared scope for –

-Medicare/Medicaid/SSP Enrollment,

-Internal Fraud/Informatics,

-Sales/Marketing/Billing/Enrollment,

-eCommerce/eBusiness

-Provider/Member Customer Service

Senior IT Systems Project Analyst Consultant UNITED HEALTH CARE GROUP, NJ March 2010 – June 2011

Functioned as the Technical Lead to carry out requirement analysis, system analysis & design, development and testing covering the entire SDLC, while leveraging Agile and Waterfall methodologies within mega ERP environments.

Maintained and remained knowledgeable of the latest technological advancements, as well as developed and integrated control processes, continually meeting corporate objectives and highest client satisfaction

Documented health statements and explanation of benefits, HC reform and 5010 CMS occurrence and field expansion for 835 and 837 EDI formats

Created and implemented test plans to troubleshoot and repair interoperability issues; test and certify software, systems, and equipment to ensure compliance with organizational and contractual specifications

Identified and mitigated project risks, managed change, justified resource allocation and reported project progress to stakeholders

-Pioneered successful deployment of HIPAA 4.0 and conversion to 5.0; managed case installation & clinical review on ICD, CPT, HCPCS, REV codes as per plan benefits & contracts

-Timely delivered design documents on HIPAA 835 and 837 calculations and EDI transactions

-Managed application and impact analysis for Gov. healthcare reform

Additional Work History

Business Systems Project Manager HORIZON BLUE CROSS, BLUE SHIELD OF NEW JERSEY March 2007 – 2010

Managed full project life cycle to develop and successful deploy an HIPAA applet within the Siebel Application; trained teams in Avaya set up within the Siebel application called CTI (Computer Telephonic Integration)

Senior Compliance Project Analyst HORIZON BLUE CROSS, BLUE SHIELD OF NEW JERSEY 2005 – 2007

Pioneered development and deployment of compliance monitoring, tracking and reporting tool - Co-chaired National Provider Identification Committee for the CMS NPI project and supported all aspects of the HIPAA (Health Insurance Portability and Accountability Act of 1996 to provide medical data privacy and security provisions

HORIZON BLUE CROSS, BLUE SHIELD OF NEW JERSEY, Newark, NJ

Managed Care Program Coordinator from 2003 – 2005; and as Medical Policy Support Analyst from 1999 – 2003

Internship with Director of Medical Records at Newark Beth Israel Medical Center

Education & Certifications

University of Phoenix 2009

n Master of Business Administration (MBA) Business Administration & Healthcare Management Cum Laude

Kaplan University, Davenport, IA 2005

n Bachelor of Science (BSc) Management, Healthcare Management Magna Cum Laude Dean’s & President’s List

Berkeley College, West Patterson, NJ 1999

n Associate of Applied Science (AAS) Health Information Management Dean’s List, Magna Cum Laude

Record Health Information Administrator Business Analyst Certification PMI-PBA Microsoft Certified Technology Specialist with Microsoft Project 2010 Lean Six Sigma Green Belt PMI Certification PMP

Professional Affiliations & Memberships: Phi Theta Kappa NAACP AHIMA

Technology Proficiency

Languages: SQL, Oracle Query, COBOL Operating Systems: Windows Vista, XP Professional, 2000, 98, 95 and 3.x Software: Project Portfolio Management, Share Point, Clarity, Jira, Field Glass, Endevor, Foundation Views, RAMP, PeopleSoft Enterprise Management System, Crystal Report Writing, MS Office Suite, Microsoft Visio, Microsoft Project, Microsoft Publisher, Outlook, TCP/IP protocols, CARS, SARS, Business Engine Network, Lotus Notes, MeDecision, Q-Blue, HSII, eConference, ELIZA ITRAX, UCSW, McKesson, VIPS, FEP, Siebel Analytics, Oracle, SAS, Webtrends, MPDD Dashboard, Universal Customer Service Workstation (UAT Testing environment), Credpro, Careplanner Web, IBM Mainframe, TOPS, CICS, COMET and NDB

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